Newsletter

Annual Wellness Visit

As a result of the Affordable Care Act, Medicare can now cover an Annual Wellness Visit, providing Personalized Prevention Plan at no additional cost to the beneficiary. This new benefit will provide an ongoing focus on prevention that can be adapted as a beneficiary’s health needs change over time.

The First Annual Wellness Visit is a one-time Medicare benefit and includes the following key elements.

  • Establish medical and family history
  • Measurement of the beneficiary’s height, weight, body mass index, blood pressure, and other routine  measurements as deemed appropriate, based on the beneficiary’s medical and family history
  • Establishment of a list of risk factors and conditions of which primary, secondary, or tertiary interventions are recommended or underway for the beneficiary, including any mental health conditions or any such risk factors or conditions that have been identified through an initial preventive physical examination (IPPE), and a list of treatment options and their associated risks and benefits

Subsequent AWV services proving PPPS include the following key elements furnished to an eligible beneficiary by a health professional.

  •  Update to the beneficiary’s medical/ family history
  •  Measurements to a beneficiary’s weight, blood pressure, and other routine measurements as deemed appropriate, based on the beneficiary’s medical and family history
  •  Update to the beneficiary’s list of risk factors and conditions of which primary, secondary, or tertiary interventions are recommended or underway for the beneficiary, as was developed at the first AWV.

For more information about coverage, please visit www.cms.gov/MLNProducts/35_PreventiveSevices.asp